DiMariano Family Dentistry Blog

Posts for: November, 2016

By Drs. Jeff DiMariano & Shaina DiMariano
November 28, 2016
Category: Dental Procedures
ChrissyTeigensTeeth-GrindingTroubles

It might seem that supermodels have a fairly easy life — except for the fact that they are expected to look perfect whenever they’re in front of a camera. Sometimes that’s easy — but other times, it can be pretty difficult. Just ask Chrissy Teigen: Recently, she was in Bangkok, Thailand, filming a restaurant scene for the TV travel series The Getaway, when some temporary restorations (bonding) on her teeth ended up in her food.

As she recounted in an interview, “I was… like, ‘Oh my god, is my tooth going to fall out on camera?’ This is going to be horrible.” Yet despite the mishap, Teigen managed to finish the scene — and to keep looking flawless. What caused her dental dilemma? “I had chipped my front tooth so I had temporaries in,” she explained. “I’m a grinder. I grind like crazy at night time. I had temporary teeth in that I actually ground off on the flight to Thailand.”

Like stress, teeth grinding is a problem that can affect anyone, supermodel or not. In fact, the two conditions are often related. Sometimes, the habit of bruxism (teeth clenching and grinding) occurs during the day, when you’re trying to cope with a stressful situation. Other times, it can occur at night — even while you’re asleep, so you retain no memory of it in the morning. Either way, it’s a behavior that can seriously damage your teeth.

When teeth are constantly subjected to the extreme forces produced by clenching and grinding, their hard outer covering (enamel) can quickly start to wear away. In time, teeth can become chipped, worn down — even loose! Any dental work on those teeth, such as fillings, bonded areas and crowns, may also be damaged, start to crumble or fall out. Your teeth may become extremely sensitive to hot and cold because of the lack of sufficient enamel. Bruxism can also result in headaches and jaw pain, due in part to the stress placed on muscles of the jaw and face.

You may not be aware of your own teeth-grinding behavior — but if you notice these symptoms, you might have a grinding problem. Likewise, after your routine dental exam, we may alert you to the possibility that you’re a “bruxer.” So what can you do about teeth clenching and grinding?

We can suggest a number of treatments, ranging from lifestyle changes to dental appliances or procedures. Becoming aware of the behavior is a good first step; in some cases, that may be all that’s needed to start controlling the habit. Finding healthy ways to relieve stress — meditation, relaxation, a warm bath and a soothing environment — may also help. If nighttime grinding keeps occurring, an “occlusal guard” (nightguard) may be recommended. This comfortable device is worn in the mouth at night, to protect teeth from damage. If a minor bite problem exists, it can sometimes be remedied with a simple procedure; in more complex situations, orthodontic work might be recommended.

Teeth grinding at night can damage your smile — but you don’t have to take it lying down! If you have questions about bruxism, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Stress & Tooth Habits” and “When Children Grind Their Teeth.”


By Drs. Jeff DiMariano & Shaina DiMariano
November 20, 2016
Category: Dental Procedures
Tags: dental implants  
DentalImplantscanReplaceYourWholeToothNotJustWhatYouSee

If you've lost a tooth or need to have one extracted, you have to decide how to replace it. Of all the options available none can match both the lifelikeness and function of a dental implant.

A dental implant is a prosthetic (false) tooth that mimics the root of a natural tooth. Once that implant root form fuses to the surrounding bone, we attach the crown, which is the part of the tooth you can see.

While other replacement options like bridges or dentures can restore the lifelikeness of the tooth crown, they don't replace the root. An implant's titanium post can: using a minor surgical procedure we imbed the post into the bone. Because bone cells have a natural affinity with titanium, they will grow around and adhere to the post over a few weeks after surgery. This further adds strength to the implant's hold in the bone.

Although the attachment isn't exactly like natural teeth, it can maintain this hold for many years. And because it encourages bone growth, a dental implant will help minimize bone loss, a natural consequence of losing teeth. Other replacement options can't do that.

Of course, implants are more costly than other restorations. With an attached crown, an implant can replace any number of teeth. But if you have extensive tooth loss, bridges or dentures would be more cost-effective selections.

But even then, implants could still play a role. We can strategically place a small number of implants as supports for a bridge or even a removable denture. Not only will the implants better secure their attachment, they'll also stimulate bone growth.

Is a dental implant the right choice for you? Visit us for a complete examination and evaluation. Afterward we can discuss your options and whether this phenomenal tooth restoration method could help restore your smile.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants: Your Best Option for Replacing Teeth.”


By DRS. JEFF DIMARIANO & SHAINA DIMARIANO
November 07, 2016
Category: Dental Procedures
Tags: orthodontics  

Discover the benefits of braces from your Folsom and Sacramento dentists!

Have you thought about improving your smile but aren't sure if braces are the right option for you? Drs. Jeff and Shaina DiMariano, your orthodontics Folsom and Sacramento, CA dentists, discuss how you can benefit from orthodontics.

Improved appearance

Like it or not, our society places great emphasis on a perfect smile. If your teeth aren't straight or you suffer from a noticeable bite issue, it can be hard to feel confident in social and business situations. Orthodontic treatment gives you the boost you need to feel confident in any setting.

Correction of bite issues

Bite problems occur when your bottom and top teeth don't fit together properly. If these problems are severe, you may accidentally bite the inside of your cheek and experience uneven wear to your teeth. Bite problems put added stress on your jaw and can lead to jaw pain, stiffness and headaches. Orthodontic treatment corrects underbites, overbites, cross bites and open bites, in addition to addressing under or overcrowding issues. Correcting bite issues can also make it easier to speak clearly.

Better oral hygiene

When your teeth overlap, it's much harder to keep them clean. Unfortunately, if plaque builds up in the overlapping areas, your cavity risk increases. People who have crooked or overlapping teeth are also more likely to battle gum disease, a dental issue that can occur when plaque turns into tartar, a hard deposit. After orthodontic treatment, your teeth will be straight and much easier to brush and floss.

Improved protection

Your teeth are designed to act as one unit, but when several are out of alignment, your risk of injury increases. If you experience a blow to the face or are injured playing your favorite sport, the teeth that protrude will take the brunt of the blow and may be damaged or knocked out. Braces reduce your injury risk by ensuring that all of your teeth are aligned properly.

Would you like to learn more about the benefits of orthodontics? Call Drs. Jeff and Shaina DiMariano, your Folsom and Sacramento, CA dentists, at (919) 929-3898 to schedule an appointment. Transform your smile with orthodontic treatment!


By Drs. Jeff DiMariano & Shaina DiMariano
November 05, 2016
Category: Dental Procedures
JimmyFallonCanrsquotCatchaBreak-ExceptinHisTooth

Want to know the exact wrong way to pry open a stubborn lid? Just ask Jimmy Fallon, host of NBC-TV’s popular “Tonight Show.” When the 40-year-old funnyman had trouble opening a tube of scar tissue repair gel with his hands, he decided to try using his teeth.

What happened next wasn’t funny: Attempting to remove the cap, Fallon chipped his front tooth, adding another medical problem to the serious finger injury he suffered a few weeks before (the same wound he was trying to take care of with the gel). If there’s a moral to this story, it might be this: Use the right tool for the job… and that tool isn’t your teeth!

Yet Fallon is hardly alone in his dilemma. According to the American Association of Endodontists, chipped teeth account for the majority of dental injuries. Fortunately, modern dentistry offers a number of great ways to restore damaged teeth.

If the chip is relatively small, it’s often possible to fix it with cosmetic bonding. In this procedure, tough, natural-looking resin is used to fill in the part of the tooth that has been lost. Built up layer by layer, the composite resin is cured with a special light until it’s hard, shiny… and difficult to tell from your natural teeth. Best of all, cosmetic bonding can often be done in one office visit, with little or no discomfort. It can last for up to ten years, so it’s great for kids who may be getting more permanent repairs later.

For larger chips or cracks, veneers or crowns may be suggested. Veneers are wafer-thin porcelain coverings that go over the entire front surface of one or more teeth. They can be used to repair minor to moderate defects, such as chips, discolorations, or spacing irregularities. They can also give you the “Hollywood white” smile you’ve seen on many celebrities.

Veneers are generally custom-made in a lab, and require more than one office visit. Because a small amount of tooth structure must be removed in order to put them in place, veneers are considered an irreversible treatment. But durable and long-lasting veneers are the restorations of choice for many people.

Crowns (also called caps) are used when even more of the tooth structure is missing. They can replace the entire visible part of the tooth, as long as the tooth’s roots remain viable. Crowns, like veneers, are custom-fabricated to match your teeth in size, shape and color; they are generally made in a dental lab and require more than one office visit. However, teeth restored with crowns function well, look natural, and can last for many years.

So what happened to Jimmy Fallon? We aren’t sure which restoration he received… but we do know that he was back on TV the same night, flashing a big smile.

If you would like more information about tooth restorations, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Porcelain Crowns & Veneers” and “Artistic Repair Of Front Teeth With Composite Resin.”